NSG322 Final Exam: Questions & Solutions
(100% Correct)
Crisis Right Ans - this is a disturbance caused by a stressful event
or threat
-disrupts an individuals homeostasis or equilibrium
-normal coping mechanisms fail
-results in inability to function as usual
Disequilibrium Right Ans - in a crisis equilibrium is displaced
with.......
Successful crisis outcome Right Ans - we want clients to
demonstrate:
-realistic perception of the event
-adequate situational support
-adequate coping mechanisms
in order to label the crisis as ......
Erich lindemann Right Ans - crisis theory:
-behavioral responses to crisis are normal
Gerald caplan Right Ans - crisis theory:
-outlined intervention strategies grounded in homeostasis &
equilibrium
Albert R. Roberts Right Ans - this person created 7-stage model
of crisis intervention
7-stage model of crisis intervention Right Ans - 1. plan and
conduct crisis assessment (including lethality measures)
2. establish rapport & rapidly establish relationship
,3. identify major problems (including the last straw or crisis
precipitants)
4. deal with feelings & emotions (including active listening &
validation)
5. generate & explore alternatives
6. develop & formulate an action plan
7. follow-up plan & agreement (crisis resolution)
situational crisis Right Ans - this type of crisis arises from events
that are extraordinary, external & often unanticipated
ex.) job loss or change,a death, change in financial or marital status,
and illness
maturational crisis Right Ans - this type of crisis occurs when a
new developmental stage is reached
-old coping skills are no longer effective
-leads to increased tension & anxiety
adventitious crisis Right Ans - this type of crisis includes natural,
human, & accidental
-natural = epidemics, floods, fires, earthquakes
-human = one on one violence, acts of terrorism, wars, riots,
shootings, & bombings.
-accidental = airline crashes, structural collapses, nuclear power
plant failures
phase 1 Right Ans - phase of crisis:
-serious stressor or problem results in increased anxiety, which
stimulates the usual coping methods & defense mechanisms in an
effort to address the problem & decrease anxiety
phase 2 Right Ans - phase of crisis:
-defense mechanisms fail
,-threat persists
-anxiety increases
-feelings of extreme discomfort
-functioning becomes disorganized
-begin trial and error attempts at problem solving
phase 3 Right Ans - phase of crisis:
-trial and error attempts fail
-anxiety can escalate to severe or panic level
-automatic relief behaviors mobilized (withdrawal & flight)
-some form of resolution may be devised (compromising needs or
redefining situation)
phase 4 Right Ans - phase of crisis:
-problem is unsolved & coping skills are ineffective
-anxiety overwhelms the person
-can lead to:
*serious personality disorganization
*depression
*confusion
*violence against others
*suicidal behavior
crisis interventions Right Ans - interventions include:
-assess for si or homicidal thoughts or plans
-take initial steps to make patient feel safe & less anxious
-listen carefully (make eye contact, give frequent feedback to verify
& convey understanding, summarize what patient says )
-use directive & creative approaches; make phone calls to arrange
babysitters, schedule a visiting nurse, find shelter, or contact social
worker
-identify needed social supports (w/ pt. input) & mobilize the
priority
, -identify needed coping skills (problem solving, relaxation,
assertiveness, job training, newborn care, self-esteem building)
-involve patient in identifying realistic, acceptable interventions
-plan a regular follow-up (phone calls, clinic visits, home visits) to
assess pt. progress
crisis Right Ans - diagnosed if severe-panic anxiety, inefficient
communication, problem solving, difficulty, inability or decreased
ability to recognize or assess resources
impaired coping Right Ans - diagnosed if an inability to meet
basic needs, decreased use of social support, inadequate problem
solving, or inability to attend to information, or isolation is seen.
anxiety Right Ans - diagnosed if excessive fear, obsessive
monitoring (news, social media, health), & feelings of loss of control
is seen.
primary prevention Right Ans - this level of prevention includes
promoting mental health & reducing mental illness to decrease the
incidence of crisis
secondary prevention Right Ans - this level of prevention
includes intervention during acute crisis to prevent prolonged
anxiety.
tertiary prevention Right Ans - this level of prevention provides
long term support for those who have experienced a crisis.
seven-phase group meeting Right Ans - what is an example of a
tertiary prevention tool?
introductory phase Right Ans - phase of seven phase group
meeting:
(100% Correct)
Crisis Right Ans - this is a disturbance caused by a stressful event
or threat
-disrupts an individuals homeostasis or equilibrium
-normal coping mechanisms fail
-results in inability to function as usual
Disequilibrium Right Ans - in a crisis equilibrium is displaced
with.......
Successful crisis outcome Right Ans - we want clients to
demonstrate:
-realistic perception of the event
-adequate situational support
-adequate coping mechanisms
in order to label the crisis as ......
Erich lindemann Right Ans - crisis theory:
-behavioral responses to crisis are normal
Gerald caplan Right Ans - crisis theory:
-outlined intervention strategies grounded in homeostasis &
equilibrium
Albert R. Roberts Right Ans - this person created 7-stage model
of crisis intervention
7-stage model of crisis intervention Right Ans - 1. plan and
conduct crisis assessment (including lethality measures)
2. establish rapport & rapidly establish relationship
,3. identify major problems (including the last straw or crisis
precipitants)
4. deal with feelings & emotions (including active listening &
validation)
5. generate & explore alternatives
6. develop & formulate an action plan
7. follow-up plan & agreement (crisis resolution)
situational crisis Right Ans - this type of crisis arises from events
that are extraordinary, external & often unanticipated
ex.) job loss or change,a death, change in financial or marital status,
and illness
maturational crisis Right Ans - this type of crisis occurs when a
new developmental stage is reached
-old coping skills are no longer effective
-leads to increased tension & anxiety
adventitious crisis Right Ans - this type of crisis includes natural,
human, & accidental
-natural = epidemics, floods, fires, earthquakes
-human = one on one violence, acts of terrorism, wars, riots,
shootings, & bombings.
-accidental = airline crashes, structural collapses, nuclear power
plant failures
phase 1 Right Ans - phase of crisis:
-serious stressor or problem results in increased anxiety, which
stimulates the usual coping methods & defense mechanisms in an
effort to address the problem & decrease anxiety
phase 2 Right Ans - phase of crisis:
-defense mechanisms fail
,-threat persists
-anxiety increases
-feelings of extreme discomfort
-functioning becomes disorganized
-begin trial and error attempts at problem solving
phase 3 Right Ans - phase of crisis:
-trial and error attempts fail
-anxiety can escalate to severe or panic level
-automatic relief behaviors mobilized (withdrawal & flight)
-some form of resolution may be devised (compromising needs or
redefining situation)
phase 4 Right Ans - phase of crisis:
-problem is unsolved & coping skills are ineffective
-anxiety overwhelms the person
-can lead to:
*serious personality disorganization
*depression
*confusion
*violence against others
*suicidal behavior
crisis interventions Right Ans - interventions include:
-assess for si or homicidal thoughts or plans
-take initial steps to make patient feel safe & less anxious
-listen carefully (make eye contact, give frequent feedback to verify
& convey understanding, summarize what patient says )
-use directive & creative approaches; make phone calls to arrange
babysitters, schedule a visiting nurse, find shelter, or contact social
worker
-identify needed social supports (w/ pt. input) & mobilize the
priority
, -identify needed coping skills (problem solving, relaxation,
assertiveness, job training, newborn care, self-esteem building)
-involve patient in identifying realistic, acceptable interventions
-plan a regular follow-up (phone calls, clinic visits, home visits) to
assess pt. progress
crisis Right Ans - diagnosed if severe-panic anxiety, inefficient
communication, problem solving, difficulty, inability or decreased
ability to recognize or assess resources
impaired coping Right Ans - diagnosed if an inability to meet
basic needs, decreased use of social support, inadequate problem
solving, or inability to attend to information, or isolation is seen.
anxiety Right Ans - diagnosed if excessive fear, obsessive
monitoring (news, social media, health), & feelings of loss of control
is seen.
primary prevention Right Ans - this level of prevention includes
promoting mental health & reducing mental illness to decrease the
incidence of crisis
secondary prevention Right Ans - this level of prevention
includes intervention during acute crisis to prevent prolonged
anxiety.
tertiary prevention Right Ans - this level of prevention provides
long term support for those who have experienced a crisis.
seven-phase group meeting Right Ans - what is an example of a
tertiary prevention tool?
introductory phase Right Ans - phase of seven phase group
meeting:
